Supervisor, Billing and Coding

Job Type Full-time Description

Job Summary

The Supervisor is responsible for providing leadership and managing the daily activities of the claims management teams consisting of Coding Specialists to ensure efficient, timely, and high-quality performance. This includes establishing policies and procedures, maintaining daily workflows to ensure specified turnaround times are met, and providing work direction and overall performance management for the staff. The supervisor should ensure optimum performance by the team in areas such as compliance, quality, productivity, teamwork across department lines, attendance, attitude/behavior, and company values.

Major Responsibilities/Activities

• Oversee the daily coding process to ensure timely processing and maximize cash flow.
• Coordinate and manage the distribution of work and scheduling for team based on business needs.
• Provide direct supervision for a multi-functional team of up to 30 full time employees. Activities include hiring staff, addressing staff concerns, and managing performance, including time and attendance, policy enforcement and corrective action, and employee development. This may include third party staffing associates and/or temporary workers.
• Manage day-to-day reports, workflow, and communication between team lead and/or staff, and third party vendors.
• Conduct regular meetings with team to address process changes, organizational issues, and departmental matters
• Monitor staff productivity and quality through internal performance systems; provide appropriate feedback, coaching, and corrective action where appropriate. Adjust coverage/schedules as necessary to maintain service level objectives
• Identify and communicate QA findings, trends, training requirements, performance patterns, deficiencies, staffing, and areas needing improvement and implement appropriate corrective measures to maximize performance and quality
• Compile and analyze data to recommend technology and other solutions for efficiencies and process improvement
• Maintain current working knowledge of rules, regulations, statutes, policies and procedures in all applicable areas
• Manage the implementation of new processes, procedures, and technologies as needed
• Ensure all HIPAA procedures are followed, violations are reported, and corrective action plans are enacted in accordance with company compliance procedures
• Collaborate with other departments in departmental and organizational continuous improvement efforts and leads such efforts when related to the receivables area
• Monitor and address staff concerns, provides positive and effective leadership that enhances employee morale and productivity and strengthens teamwork and employee relations.
• Conduct all job tasks, duties, and interactions with professionalism, respect, a positive attitude, and in accordance with company compliance policies and applicable government regulations
• Consistently support and demonstrate the company mission and values

Other Responsibilities/Activities

• Identify and communicate ideas for improved efficiency and performance
• Provide backup support to other supervisors throughout the company
• Completion and/or involvement in special projects
• Participation in relevant meetings and company-sponsored events
• Recognize/reward top performance of subordinates

Performance Success Factors

• Ensure that established goals for department’s quality and productivity are achieved or exceeded in an environment where demands and expectations will be increasing, and creative solutions may need to be identified.
• Continuous improvement focus, especially in areas where technology can provide efficiencies
• Lead and perform by example to promote cross-functional teamwork and unity
• Lead and motivate staff to achieve optimum performance in the areas of quality, productivity, teamwork across department lines, attendance, attitude/behavior, and company values. Quality and productivity standards should be met or exceeded.

Requirements

Required Education, Skills, & Experience

• Associates degree in Business Administration, Healthcare or related field or high school diploma with comparable work experience
• 1 or more years of supervisory experience or other relevant leadership experience
• 1 or more years of experience with medical billing, insurance, or in other healthcare financial areas. Experience in non-healthcare high-volume receivables will also be considered.
• Demonstrated ability to lead and motivate diverse staff in a positive and effective manner
• Excellent written and verbal communication skills with the ability to communicate with peers, supervisors, managers, clients, vendors and team members in a professional and respectful manner
• Strong analytical and critical thinking skills with the ability to improve processes, solve problems, and provide innovative solutions with little direction
• Demonstrated ability to multi-task and work with cross-functional teams
• Must be able to give and receive positive and negative feedback in a consistent, professional, and respectful manner; includes difficult or sensitive topics/conversations, applying disciplinary action, resolving escalated issues, employee conflicts, etc.
• Proficiency with Microsoft Office programs; strong level of Excel experience including formulas and pivot tables required
• Willing and able to work extended hours to support business needs
• Strong listening, decision-making, time management, communication skills, problem solving and innovative solutions with little supervision.
• Capable of handling multiple and complex tasks simultaneously, meeting deadlines and working efficiently, while contributing to a cross-functional team environment.
• Strong sense of confidentiality and professionalism regarding financial information.

Preferred Education, Skills, & Experience

• Demonstrated knowledge of HIPAA, FERA,FDCPA, Medicare, Medicaid, compliance, insurance, liability and tertiary payment methods
• Associates degree or higher
• 1 year prior experience in EMS billing
• Knowledge/experience in electronic claims submissions and remittance procedures

Working Environment/Physical Requirements

• Majority of time spent in a normal office environment
• Long periods of sitting and standing
• Possession of motor skills required for use of computer keyboard, telephone, various office equipment and filing of paperwork
• Flexibility to work extended hours to support the business as required

Pay Range: $50,000 - $55,000 annually, with final compensation based on the candidate’s qualifications, experience, and business needs. Individuals in this role are eligible to participate in a discretionary bonus plan and a comprehensive benefit package, including a retirement plan, health coverage, and paid time off. Visit https://emsmc.com/careers/ to explore our total rewards package.